Organization
BROOKHAVEN COMSEWOGUE UFSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M CASALI (ASSISTANT SUPERINTENDENT)
(631) 474-8116
Entity
Organization
Contact information
Practice address
290 NORWOOD AVE, PORT JEFFERSON STATION, NY 11776-2562
(631) 474-8116
(631) 474-8399
Mailing address
290 NORWOOD AVE, PORT JEFFERSON STATION, NY 11776-2562
(631) 474-8116
(631) 474-8399
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01411774
—
NY
Enumeration date
01/11/2007
Last updated
06/17/2008
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